Comparative Evaluation of the Effectiveness of Buccal Infiltration Anesthesia Versus Inferior Alveolar Nerve Block Anesthesia for the Extraction of Primary Mandibular Molars: A Randomized Controlled Study
Overview
- Phase
- Not Applicable
- Intervention
- Not specified
- Conditions
- Anesthesia
- Sponsor
- Cairo University
- Enrollment
- 112
- Locations
- 1
- Primary Endpoint
- Assessment of intraoperative pain
- Status
- Completed
- Last Updated
- 3 years ago
Overview
Brief Summary
This study aims to evaluate the effectiveness of single buccal local infiltration when compared to buccal local infiltration with intrapapillary infiltration and inferior alveolar nerve block anesthesia in primary mandibular molar extractions.
Detailed Description
Effective pain control is essential in providing children with successful dental treatment. Without it, negative experiences may result in anxiety and fear-related behaviors towards subsequent dental treatment. Local anesthesia is the cornerstone of pain control in dentistry. Choosing the right local anesthetic technique is of special significance . The inferior alveolar nerve block (IANB) is a common practice for anesthetizing mandibular molars and/or premolars on one side of the jaw. It is achieved by depositing local anesthetic solution at the entrance to the mandibular canal, which inhibits the transmission of action potentials along the inferior alveolar nerve. Administering an IANB can be technique sensitive and failure rates are reported to be up to 20%, due to anatomical variations in the position of the mandibular foramen and accessory innervations. This effect may be compounded for those who are not used to anesthetizing children . However, Supraperiosteal infiltration has the advantages of easier administration when compared to block anesthesia, shorter anesthetic duration, and generally does not anesthetize the lips . An ideal local anesthetic should provide maximum efficacy, through a minimal number of injections, using techniques that provide the least discomfort, causing negligible adverse effects .
Investigators
marwa aly fouad elchaghaby
principal investigator
Cairo University
Eligibility Criteria
Inclusion Criteria
- •Badly decayed primary mandibular molars indicated for extraction with not less than half of the root length present.
- •Children ranging in age from 5-8 years
Exclusion Criteria
- •.Allergies to local anesthetics.
- •History of significant medical conditions.
- •Children under any medications.
- •Presence of abscess, sinus opening.
- •Uncooperative children without access to or with difficulty accessing dental care.
Outcomes
Primary Outcomes
Assessment of intraoperative pain
Time Frame: through treatment completion, an average of 1 hour
Wong Baker Faces Pain Rating Scale consists of a set of cartoon faces with varying facial expressions ranging from a smile/laughter to tears with numerical value from 0 to 5 where where zero indicates no pain and 5 indicate severe pain
Secondary Outcomes
- intraoperative pain(through treatment completion, an average of 1 hour)
- duration of the anesthetic effect(up to 24 hours)
- The onset of the anesthetic effect(up to 24 hours)